{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:22Z","timestamp":1777927522772,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100018370","name":"Institute of Tropical Medicine","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100018370","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Antwerp Diner"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Online postal self-sampling (OPSS) for HIV\/STI improves testing access and coverage. We assessed the acceptability, usability, and user experiences of the \u201cTest2Know\u201d (T2K) OPSS platform in Flanders, Belgium, to inform further implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible users completed a risk-assessment to determine infections (HIV, syphilis, chlamydia, gonorrhoea, hepatitis C) and anatomical sites for testing. Self-collected samples were mailed to the laboratory, and results were communicated via the platform. Users completed surveys on acceptability, usability and overall user experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 131 individuals who received a kit; 98 (74.8%) returned samples. 62.2% were male, 27.6% were men who had exclusively sex with men, and the median age was 29\u00a0years. Nearly 43% had never been tested for HIV or did not recall previous testing. 9 (9.2%) tested positive for an STI, all men; 7\/9 reported sex exclusively with men, and 2\/9 had never tested for HIV. No HIV or HCV infections were detected. Usability and acceptability were 89.2% and 83.3% respectively, nearly 90% would reuse and recommend the platform. However, 45.4% preferred a mixed testing approach due to blood collection challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OPSS is highly acceptable and reaches individuals at risk for STI. Further research should explore sustainable integration into Belgian healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624251342616","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:06:27Z","timestamp":1747281987000},"page":"642-648","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acceptability, usability, and user experiences of an online postal self-sampling approach for HIV and STI testing in Belgium: Test2Know"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1804-252X","authenticated-orcid":false,"given":"Irith","family":"De Baetselier","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Herrijgers","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fien","family":"Vanroye","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgit","family":"Baudry","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Lebacq","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Verschueren","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicky","family":"Cuylaerts","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2557-8998","authenticated-orcid":false,"given":"Chris","family":"Kenyon","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maartje","family":"van Frankenhuijsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5541-6041","authenticated-orcid":false,"given":"Thibaut","family":"Vanbaelen","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristien","family":"Wouters","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorien","family":"Van den Bossche","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Platteau","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Consolidated guidelines on HIV, viral hepatitis and STI prevention, diagnosis, treatment and care for key populations","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. Consolidated guidelines on HIV, viral hepatitis and STI prevention, diagnosis, treatment and care for key populations. Geneva, Switzerland: World Health Organization, 2022."},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/SEXTRANS-2021-055376"},{"key":"e_1_3_7_4_2","volume-title":"Technologies, strategies and approaches for testing populations at risk of sexually transmitted infections in the EU\/EEA","author":"Andreasen A","year":"2021","unstructured":"Andreasen A, M\u00e5rdh O, Parajuli A, et al. Technologies, strategies and approaches for testing populations at risk of sexually transmitted infections in the EU\/EEA. Solna, Sweden: European Centre for Disease Prevention and Control, 2021."},{"key":"e_1_3_7_5_2","volume-title":"WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights","author":"WHO","year":"2019","unstructured":"WHO. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights. Geneva, Switzerland: World Health Organization, 2019."},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0212420"},{"key":"e_1_3_7_7_2","volume-title":"The pilot online STI testing service in Ireland, 2021: evaluation report","author":"Harbottle J","year":"2021","unstructured":"Harbottle J, Shaw AT, Baraitser P, et al. The pilot online STI testing service in Ireland, 2021: evaluation report. Dublin, Ireland: Sexual Health and Crisis Pregnancy Programme, Health and Wellbeing, Strategy and Research, 2021."},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04579-6"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2020-054790"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.15585\/MMWR.MM7038A2"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/SEXTRANS-2024-056232"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-21773-w"},{"key":"e_1_3_7_13_2","volume-title":"Standards for online and remote providers of sexual and reproductive health services","author":"Munro H","year":"2020","unstructured":"Munro H, Patel R, Brito-Mutunayagam S, et al. Standards for online and remote providers of sexual and reproductive health services. 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